Dental
Kelly, Trent
Kelly, Trent was paid $256K by Medicaid between Mar 2018 and Jul 2020, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 55% of everything it billed.
33Billing provider infoKELLY, TRENT
IDAHO FALLS, ID 83402
IDAHO FALLS, ID 83402
33aNPI1952663460assigned 06/11/2012
33bProvider typeDentist
28Total paid$256K
24GClaims5,003
24DCodes billed13
24AFirst – last monthMar 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#17 of 89
Median peer was paid$16K
This provider vs. median17×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 488 | $20K | |
| 2019 | 1,921 | $97K | |
| 2020 | 2,594 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 55% | 985 | 339 | $142K |
| D0210 | Intraoral - complete series of radiographic images | 25% | 846 | 841 | $65K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 273 | 147 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 708 | 143 | $11K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 425 | 401 | $8K |
| D1110 | Prophylaxis - adult | 3.1% | 251 | 249 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 37 | 29 | $4K |
| D4355 | <1% | 60 | 59 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 90 | 54 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 861 | 855 | $1K |
| D0330 | Panoramic radiographic image | <1% | 17 | 17 | $414.01 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 299 | 282 | $9.22 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 151 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.